Exam: Patient fully alert and oriented. His neurological exam revealed a right sided hemiparesis with strengths of 2/5 in his right lower extremity and 3/5 in the right upper extremity. He was hyperreflexic right greater than left, had right sided spasticity, and a right babinski present with clonus in the ankle. He also had decreased sensation to light touch throughout his right side including his face.

MPX1184_synpic17449: Increased white matter signal in left frontoparietal region with mild midline shift. Non enhancing cystic lesions are seen in the left parietal lobe. There are areas of enhancement around the cystic lesion on post gad images consistent with small vessel proliferation. Severe edema is present and some increased white matter signal in the right hemisphere may represent tumor extension across the corpus callosum.

MPX1184_synpic17449: Increased white matter signal in left frontoparietal region with mild midline shift. Non enhancing cystic lesions are seen in the left parietal lobe. There are areas of enhancement around the cystic lesion on post gad images consistent with small vessel proliferation. Severe edema is present and some increased white matter signal in the right hemisphere may represent tumor extension across the corpus callosum.

Exam: Patient fully alert and oriented. His neurological exam revealed a right sided hemiparesis with strengths of 2/5 in his right lower extremity and 3/5 in the right upper extremity. He was hyperreflexic right greater than left, had right sided spasticity, and a right babinski present with clonus in the ankle. He also had decreased sensation to light touch throughout his right side including his face.